Department of Licensing and Regulatory Affairs
Board of Nursing
JENNIFER MARIE ILACQUA
Nursing - Nurse Practitioner
License number
4704242794
Date granted
12/18/2012
Date expires
03/31/2017
Class
Nursing - Nurse Practitioner
Status
Active
Address
nursingmichigan.com
ID 39028802
LAST UPDATED 2024-03-27 14:44:25 UTC
LAST UPDATED 2024-03-27 14:44:25 UTC
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